Skin and Soft Tissue Infections in Critical Care

Hill, Michael K.; Sanders, Charles V.

doi:10.1016/s0749-0704(05)70394-8

Cited by 20 publications

(17 citation statements)

References 17 publications

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“…Necrotizing fasciitis typically affects the extremities, but sometimes is seen on the perineum, face, and other parts of the body. [5][6][7][8][9] Seventy five percentage of NF affected extremities in our patients.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Review of Patients with Necrotizing Fasciitis Presenting to an Emergency Department in Hong Kong

Sin

Yuen²,

Lam³

et al. 2002

Hong Kong Journal of Emergency Medicine

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Background Necrotizing fasciitis is a soft tissue gangrenous infection that require early diagnosis, radical debridement and broad-spectrum antibiotics. Aim To review the clinical spectrum and outcome of necrotizing fasciitis in Kwong Wah Hospital during a period of 18 months. Method Cases of necrotizing fasciitis were identified from discharge statistics for the period January 1999 to June 2000. Accident and Emergency Department (AED) notes and clinical records after admission were reviewed for clinical features, predisposing factors, microbiology, histology, treatment and outcome. Results Fifteen cases of necrotizing fasciitis were found but two of them had wrong diagnosis made. Of the thirteen cases, ten were male and three were female. The average age was 61.7 years old. Most of them presented with different combinations of swelling, pain, erythema and fever. They attended the emergency department with an interval of 3.5 days from the onset of symptoms. Risk factors were identified in 64% of patients, with diabetes mellitis (DM) and hypertension (HT) being the most common. Monomicrobial and polymicrobial infections were equally common in our study. Streptococcus pyogene was the most common pathogen. Only two NF (18%) were diagnosed in AED. Six patients were admitted to either surgical or orthopaedic wards and all of them underwent operations within 24 hours although two of them died. Other five patients were managed in medical ward and four of these patients underwent delayed operations but survived whilst one of them died despite of early surgical intervention. Overall mortality was 23%. Conclusions This condition affects a wide age group and have associated morbidities. It is often a fatal disease. Early recognition, high dose antibiotics and surgical debridement are important in its management.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Review of Patients with Necrotizing Fasciitis Presenting to an Emergency Department in Hong Kong

Sin

Yuen²,

Lam³

et al. 2002

Hong Kong Journal of Emergency Medicine

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“…NF typically affects the extremities but sometimes is seen on face, perineum and other parts of body. [7] There is no sex predilection for NF and occurs more frequently in immunocompromised patients, intravenous drug users, alcoholics, renal or liver diseases, diabetics and patients with peripheral vascular diseases. NF can be the initial presentation of tuberculosis in rare cases [8] .…”

Section: Case Reportmentioning

confidence: 99%

Necrotizing Fasciitis Secondary to Tuberculosis in a Middleaged Man

Verma¹,

Shah²,

Gaikwad³

et al. 2014

jemds

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Necrotizing fasciitis is a life-threatening soft tissue infection that results in rapid local tissue destruction. Type 1 necrotizing fasciitis is characterized by polymicrobial, synergistic infections that are caused by non-Group A Streptococci, aerobic and anaerobic organisms. Type 2 necrotizing fasciitis involves Group A Streptococcus (GAS) with or without a coexisting staphylococcal infection. If not treated precociously and in an adequate manner the mortality rate can reach up to 74%. [1] Here we present a case of 37years old male with tuberculous necrotising fasciitis presenting with signs of acute inflammation. The tissue was debrided (sent for histopatological examination) and pus drained (sent for routine culture and AFB culture). The histopatological report of the underlying muscle and fascia was suggestive of tuberculous inflamation (dense neutrophilic infiltration with caseous necrosis) while the pus culture and AFB culture was negative for Mycobacteium species.

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“…Local tissue damage, progressive gangrene, and potential systemic toxemia may result from these infections, leading to severe morbidity and even death. 15…”

Section: Surgical Emergenciesmentioning

confidence: 99%

Foot Infections

Ansari

Shukla

2005

The International Journal of Lower Extremity Wounds

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Infections of the foot are very variable, some being complex in nature, causing pain, morbidity, and even mortality. In patients with diabetes mellitus, foot infections are common, ranging from chronic bacterial or fungal infections to serious limb-threatening ones. To manage infections, a sound knowledge of anatomy is essential. This article reviews the problems with respect to recent evidence and provides pathways to management and suggestions of changes with potential to wound healing.

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Skin and Soft Tissue Infections in Critical Care

Cited by 20 publications

References 17 publications

A Retrospective Review of Patients with Necrotizing Fasciitis Presenting to an Emergency Department in Hong Kong

A Retrospective Review of Patients with Necrotizing Fasciitis Presenting to an Emergency Department in Hong Kong

Necrotizing Fasciitis Secondary to Tuberculosis in a Middleaged Man

Foot Infections

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